| NPI | 1720277940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WI 2007004348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 3271) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-02-17 |